A shared goal among pain researchers is to develop robust theoretical models of pain
and suffering and of those factors leading to its alleviation and relief. As described
by McCracken and Morley in this issue of the Journal of Pain,
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chronic pain is a complex, multidimensional phenomenon that is often refractory to
various treatments yet by its very nature entails multiple potential points of intervention
(ie, cognitions, emotions/affect, behavior, and physiology). There is now widespread
agreement that the focus of pain treatment research needs to broaden beyond treatment
efficacy to understanding how treatments work, and to develop core principles by which we can match the best treatment
to a particular problem given a patient's unique characteristics and circumstances.
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References
- Two psychological interventions are effective in severely disabled, chronic back pain patients: A randomised controlled trial.Int J Behav Med. 2010; 17: 97-107
- A neuropsychological model of pain: Research and clinical implications.J Pain. 2010; 11: 2-12
- Psychosocial approaches to pain management: An organizational framework.Pain. 2011; 152: 717-725
- Psychological flexibility as a fundamental aspect of health.Clin Psychol Rev. 2010; 30: 865-878
- Mediators and mechanisms of change in psychotherapy research.Annu Rev Clin Psychol. 2007; 3: 1-27
- The psychological flexibility model: A basis for integration and progress in psychological approaches to chronic pain management.J Pain. 2014; 15: 221-234
- Strategy of outcome research in psychotherapy.J Consult Psychol. 1967; 31: 109-118
- Behavior modification research: Design and tactics.in: Franks C.M. Behavior Therapy: Appraisal and Status. McGraw-Hill, New York, NY1969: 29-62
- Long-term efficacy of therapy in patients with fibromyalgia: A physical exercise-based program and a cognitive-behavioral approach.Arthritis Rheum. 2004; 51: 184-192
- Mechanisms of mindfulness.J Clin Psychol. 2006; 62: 373-386
- Common and specific treatment factors in psychosocial pain management: The need for a new research agenda.Pain. 2011; 152: 705-706
- Introduction: The basics of acceptance and commitment therapy.Cogn Behav Pract. 2012; 19: 499-507
Article info
Footnotes
No funding sources were provided in association with this manuscript. The authors report no conflicts of interest.
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Copyright
© 2014 American Pain Society. Published by Elsevier Inc. All rights reserved.
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- The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain ManagementThe Journal of PainVol. 15Issue 3
- PreviewScientific models are like tools, and like any tool they can be evaluated according to how well they achieve the chosen goals of the task at hand. In the science of treatment development for chronic pain, we might say that a good model ought to achieve at least 3 goals: 1) integrate current knowledge, 2) organize research and treatment development activities, and 3) create progress. In the current review, we examine models underlying current cognitive behavioral approaches to chronic pain with respect to these criteria.
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- Reply to Johan W. S. Vlaeyen and to Melissa A. Day and Beverly E. ThornThe Journal of PainVol. 15Issue 3
